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Individual
MR. GEORGE P KOLLASCH
Active
Individual
MR. GEORGE P KOLLASCH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CA LMFT
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
1375
CA
106H00000X
Marriage & Family Therapist
Primary
126647
CA
Other
Enumeration date
07/13/2021
Last updated
07/13/2021
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